Active Diagnostics LTD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

ACTIVE DIAGNOSTICS LTD

Practice address

711 Dunhill Dr
Buffalo Grove, IL 60089-1514

Phone

(847) 904-7500

NPI assigned

May 24, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aleksander Goldvekht, MD

Title

Co-Owner

Phone

(847) 904-7500

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1003135518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 DUNHILL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 DUNHILL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891514",
            "telephone_number": "847-904-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE DIAGNOSTICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "GOLDVEKHT",
        "authorized_official_first_name": "ALEKSANDER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "847-904-7500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.